早期肠内营养供与对胆囊癌术后患者肝肾功能影响的临床研究 (pdf)

    【摘要】 目的 探讨早期肠内营养(EEN)与全肠外营养(TPN)对胆囊癌术后患者肝肾功能影响。 方法 对2001年3月～2003年5月收治的22例胆囊癌术后患者随机分为EEN组(9例)和TPN组(11例)，均于术后48h后予营养支持，EEN液经鼻肠管注入，TPN经颈内静脉滴入。术后第5、7天监测肝肾功能，进行统计学分析。结果 肝功能检测，EEN组恢复较快，优于TPN组(P<0.05)；肾功能检测，EEN组与TPN组两组比较差异无显著性(P>0.05)。结论 对胆囊癌术后患者，早期肠内营养能更早更快改善肝功能。

    【关键词】 胆囊癌术后；早期肠内营养；肝肾功能

    Clinical study of early enteral and parenteral nutritional support in gallbladder cancer

    SHENG Hai-yun, WEI Xiao-hui.

    Huizhou People’s Hospital, Huizhou 516002，China

    【Abstract】 Objective To compare early enteral and parenteral nutritional support in gallbladder cancer post-operatively. Methods In this study, 20 patients were randomized into 2 groups to respectively receive enteral or parenteral nutritional support beginning the first day post-operation for a week. Their liver and renal functions were measured post-operative day 5 and 7, respectively. Results Liver function in EEN group recovered more quickly than those in TPN group after operation(P<0.05), the date of renal function were not significantly in EEN group and TPN group(P>0.05). Conclusion In patients of post-operative gallbladder cancer, enteral nutrition is better than parenteral nutrition. ......